Patient: Description of the condition (onset of symptoms, the main symptoms, visit the hospital, etc.): I have 10 years of hypertension, blood pressure up to 100 160, I was recommended to be hospitalized for a week to check, plate, ultrasound, protein, cardiac enzymes, Haute after each check or a 2 degrees 1 at night, and every morning at 8 o’clock blood pressure is always on 80 120, the doctor said normal, antihypertensive drugs are not prescribed to me, I brought another 24-hour ambulatory blood pressure, found lying down blood pressure are basically normal. I just found out that hospitalization are lying down, outpatient are sitting down to measure. Wang Yumin, Cardiovascular Department, Affiliated Hospital of Henan Provincial Institute of Traditional Chinese Medicine: Postural hypertension (upright hypertension) refers to normal blood pressure in the lying position (diastolic pressure ≤ 90 mmHg) and elevated blood pressure in the seated or standing position (diastolic pressure > 90 mmHg). Upright hypertension is mostly seen in mild and borderline hypertensive individuals. hull found that 15 of 21 cases (7104) of borderline hypertension were upright hypertension with the following clinical features: (1) from the recumbent to the standing position, the postural diastolic blood pressure was elevated to (16.3±0.9) mmHg, much higher than the (8.9±0.8) mmHg in normotensive individuals or the ( 9.54±0.5)mmHg in those with persistent hypertension, along with increased postural tachycardia. Postural hypertension accounted for 4.2% of cases. The diagnosis is made with a predominantly elevated diastolic blood pressure, with a difference of 20 mmHg or more between the prone and standing positions. The renin activity is elevated in these patients. The pathogenesis of hypertension is different from that of hypertension in general. This affects the normal blood supply to the brain. The carotid sinus (pressure receptor) at the beginning of the internal carotid artery will sense this change, and it will strengthen the heartbeat contraction and increase the tension of small arteries throughout the body through the reflex action of the sinus nerve, thus increasing the blood pressure, the purpose of which is to ensure the blood supply to the brain. If the difference is not too great, it is normal. If the blood pressure exceeds normal it is the result of the usual overexpansion of the veins of the lower extremities. This causes the blood pressure to rise due to too much blood returning to the heart when standing. But it is already hypertension. This is because patients with postural hypertension have more severe gravitational vascular pools in the veins of the hypochondrium, and the veins or sinuses below the heart are dilated by gravity, and when a person is in a standing position, too much blood stagnates in these hypochondrium pools, leading to a decrease in the amount of return blood and a decrease in cardiac output, causing a reflex overexcitation of the sympathetic nerves, resulting in a generalized small blood vessel This leads to prolonged contraction or even spasm of mainly small arteries, causing an increase in blood pressure. Postural hypertension cannot be treated as ordinary hypertension with medication. Some patients with postural hypertension do not need antihypertensive drugs because they have not been suffering from postural hypertension for a long time and there is no damage to the target organs. Wrong medication will not only fail to lower blood pressure, but also stimulate further increase in blood pressure. The main treatment is to enhance physical exercise and improve muscle fullness. Generally, no treatment is needed. Individuals with obvious symptoms can use neuromodulatory drugs such as glutamate. You can also use neurotrophic drugs such as brain rejuvenation, vitamin B, inosine, etc. You can also use Chinese medicine to identify and treat the symptoms, which is very effective, and you can use Chinese medicine to benefit Qi and activate blood.